| Eugene Rosenman Md Professional Corporation | |
|
2401 E Katella Ave Ste 625 Anaheim CA 92806-5995 | |
| (800) 577-4701 | |
| Not Available |
| Full Name | Eugene Rosenman Md Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 2401 E Katella Ave Ste 625, Anaheim, California |
| Authorized Official Name and Position | Eugene Rosenman (OWNER) |
| Authorized Official Contact | 7028578800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene Rosenman Md Professional Corporation 151 Kalmus Dr Ste K2 Costa Mesa CA 92626-5975 Ph: () - | Eugene Rosenman Md Professional Corporation 2401 E Katella Ave Ste 625 Anaheim CA 92806-5995 Ph: (800) 577-4701 |
| NPI Number | 1992588313 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Medicare PECOS PAC ID | 5890144471 |
|---|---|
| Medicare Enrollment ID | O20231207002115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992588313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Eugene Rosenman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659433787 PECOS PAC ID: 7517866866 Enrollment ID: I20231207002190 |
| Provider Name | Michael William Casey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295760957 PECOS PAC ID: 5092164186 Enrollment ID: I20231214002642 |
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